Cognitive Flexibility Inventory (CFI) 认知灵活性量表

synopsis（简介）

The Cognitive Flexibility Inventory (CFI) is a 20-item self-report measure to monitor how often individuals engaged in cognitive behavioural thought challenging interventions (Dennis & Vander Wal, 2010). Cognitive flexibility enables individuals to think adaptively when encountering stressful life events, and is a core skill that helps individuals avoid becoming stuck in maladaptive patterns of thinking. The CFI measures two aspects of cognitive flexibility:
Alternatives – the adaptive ability to perceive multiple alternative explanations for life occurrences and the ability to generate multiple alternative solutions to difficult situations.
Control – having an internal locus of control, or the tendency to perceive difficult situations as somewhat controllable.
Individuals with high cognitive flexibility are more likely to react adaptively in response to difficult life experiences, while cognitively inflexible individuals are more susceptible to experiencing pathological reactions. The CFI has been shown to differentiate between a clinical group (anxiety and depression) and a non-clinical sample (Johnco, Wuthrich, & Rapee, 2014), with a clinical group showing significantly lower CFI total and subscale scores than the non-clinical group.
When administered multiple times during a course of cognitive behavioural therapy the scale can be useful in indicating treatment response.

认知灵活性量表（CFI）是一项包含 20 个项目的自我报告测量，用于监测个人参与认知行为思维挑战干预的频率（Dennis & Vander Wal，2010 年）。认知灵活性能使个体在遇到生活压力事件时进行适应性思考，是帮助个体避免陷入不良思维模式的核心技能。CFI 可测量认知灵活性的两个方面：
替代性--对生活中发生的事情有多种替代性解释的适应能力，以及对困境提出多种替代性解决方案的能力。
控制力--具有内部控制力，或倾向于认为困境在某种程度上是可以控制的。
认知灵活性高的人更有可能对困难的生活经历做出适应性反应，而认知灵活性低的人则更容易出现病态反应。研究表明，CFI 可以区分临床组（焦虑症和抑郁症）和非临床样本（Johnco, Wuthrich, & Rapee, 2014），临床组的 CFI 总分和分量表得分明显低于非临床组。
如果在认知行为疗法过程中多次使用该量表，则可有效显示治疗反应。

Validity and Reliability（效度和信度）

The 20-item CFI showed high test-retest reliability for the full score (r = .81), Alternatives subscale (r = .75), and Control subscale (r = .77; Dennis & Vander Wal, 2010). Cronbach’s alpha ranged from good to excellent, for the Alternatives subscale (alpha = .91), Control subscale (alpha = .86), and the full score (alpha = .90; Dennis & Vander Wal, 2010). Furthermore, evidence was obtained for the convergent construct validity of the CFI and its two subscales via their associations with other measures of cognitive flexibility, depressive symptomatology, and coping (Dennis & Vander Wal, 2010).

In a sample of 196 university students (Dennis & Vander Wal, 2010), the mean scores where as follows:

CFI total – 102.98 (SD = 13.91)

Alternatives Subscale – 67.59 (SD = 9.41)

Control Subscale 35.35 (SD = 7.02)

20 个项目的 CFI 显示，总分（r = .81）、替代方法分量表（r = .75）和控制分量表（r = .77; Dennis & Vander Wal, 2010）的测试-再测可靠性较高。替代方法分量表（α = .91）、控制分量表（α = .86）和总分（α = .90；Dennis & Vander Wal，2010 年）的 Cronbach's α 从良好到优秀不等。此外，通过 CFI 及其两个分量表与其他认知灵活性、抑郁症状和应对措施的关联，我们还获得了 CFI 及其两个分量表的聚合建构效度的证据（Dennis & Vander Wal，2010 年）。
在一个由 196 名大学生组成的样本中（Dennis & Vander Wal，2010 年），平均得分如下：
CFI 总分 - 102.98 (SD = 13.91)
备选方案分量表 - 67.59 (SD = 9.41)
控制分量表 35.35 (SD = 7.02)

Scoring and Interpretation（得分解释）

Scores consist of a total CFI score and two subscale scores. The total score ranges between 20 and 140, where higher scores indicate more cognitive flexibility.

A normative percentile for the total score and subscales are calculated, comparing the respondents scores to a sample of university students (Dennis & Vander Wal, 2010). Percentiles help contextualise how the respondent scored in relation to a typical pattern of responding. For example, a percentile of 50 indicates the individual has more cognitive flexibility than 50 percent of the normal population. i.e. is average.

Percentiles below approximately 25 represent clinically significant inflexibility, which would be important to target within cognitive behavioural therapy (CBT). According to the CBT framework, cognitive inflexibility underpins the development and maintenance of depression and anxiety.

A graph is presented of average scores (between 1 and 7), indicating the typical response on the likert scale and normalising scores between subscales.

The two subscales measuring important aspects of cognitive flexibility are:

Alternatives: measuring the ability to perceive multiple alternative explanations for life occurrences and human behaviour and the ability to generate multiple alternative solutions to difficult situations.

Range = 13 to 91

Sum items 1, 3, 5, 6, 8, 10, 12, 13, 14, 16,18, 19, 20

Control: measuring the tendency to perceive difficult situations as controllable.

Range = 7 to 49

Sum items 2, 4, 7, 9, 11, 15, 17

Note that items 2, 4, 7, 9, 11, & 17 are reverse scored.

得分包括 CFI 总分和两个分量表得分。总分在 20 分至 140 分之间，分数越高，表示认知灵活性越强。
总分和分量表的常模百分位数是通过将受试者的分数与大学生样本进行比较而计算得出的（Dennis & Vander Wal，2010 年）。百分位数有助于将受测者的得分与典型的反应模式联系起来。例如，百分位数为 50 表示该人的认知灵活性高于正常人群的 50%，即属于平均水平。
百分位数低于约 25 代表临床上显著的不灵活性，这将是认知行为疗法（CBT）的重要目标。根据 CBT 框架，认知不灵活是抑郁症和焦虑症发展和维持的基础。
图表显示了平均得分（1 到 7 分之间），表明了在李克特量表上的典型反应，并对各分量表之间的得分进行了归一化处理。
测量认知灵活性重要方面的两个分量表是
备选方案：测量对生活中发生的事情和人类行为做出多种备选解释的能力，以及对困难情况提出多种备选解决方案的能力。
范围 = 13 至 91
项目 1、3、5、6、8、10、12、13、14、16、18、19、20 之和
控制：测量将困境视为可控的倾向。
范围 = 7 至 49
项目 2、4、7、9、11、15、17 之和
请注意，项目 2、4、7、9、11 和 17 是反向计分的。